Lapeyrie H, Balmes P, Loizon P, Delhoume J Y
Service de Chirurgie A, C.H.U., 5, Nîmes.
J Chir (Paris). 1988 Dec;125(12):717-20.
A complication of colonic diverticulosis, giant diverticula are seen above all in the sigmoid region. On the basis of a case involving the transverse colon, the authors stress the clinical and ultrasonographic pseudo-tumoural symptomatology as well as the degree of superinfection of the contents. Anatomical arguments would be in favour of pathogenesis by progressive increase in size of an ordinary diverticulum rather than by perforation with secondary encystment. Excision of the diverticulum required segmental colectomy.
结肠憩室病的一种并发症,巨型憩室多见于乙状结肠区域。基于一例横结肠病例,作者强调了临床和超声检查的假肿瘤症状以及内容物的感染程度。解剖学观点支持普通憩室大小逐渐增加而非穿孔继发包囊形成的发病机制。憩室切除需要行节段性结肠切除术。